86 Street Dental PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

86 STREET DENTAL PC

Practice address

2155 86TH St
Brooklyn, NY 11214-3205

Phone

(718) 509-4888

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dmitriy Volotsenko, DDS

Title

President

Phone

(917) 797-8052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted Tatsushi Uotani, DMD

  • Pediatric Dentistry
  • New York, NY
  • NPI 1336606144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1093586638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143205",
            "telephone_number": "718-509-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143205",
            "telephone_number": "718-509-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "86 STREET DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "VOLOTSENKO",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-797-8052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 7TH Avenue Pharmacy Inc.
• 80TH Street Pharmacy Inc (Pure Health Pharmacy)
• 820 River Street Inc.
• 86 Bobo Pharmacy Inc
• 86 Pharmacy Inc.
• 86St RX Inc.
• 86TH St Pharmacy Corp (Eisenburg Pharmacy)
• 86TH St. Vision Express, LLC
• 86TH Street Community Pharmacy Corp.
• 86TH Street Optical Inc. (Cohens Fashion Optical)

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.